MINIMALLY INVASIVE NEUROSURGICAL INTRACRANIAL ROBOT SYSTEM AND METHOD

• US 20130218005A1
• Filed: 02/08/2013
• Published: 08/22/2013
• Est. Priority Date: 02/08/2012
• Status: Abandoned Application

• Current Assignee: University of Maryland Baltimore County (University of Maryland), University of Maryland, College Park
• Original Assignee: University of Maryland Baltimore County (University of Maryland), University of Maryland, College Park
• Inventors: DESAI, JAYDEV P., HO, MINGYEN, SIMARD, J. MARC, GULLAPALLI, RAO
• Application Number:
  US13/763,284
• Publication Number:
  US 20130218005A1
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2018/00446 Brain
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/306 Wrists with multiple vertebrae
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: A61N 7/022 : intracavitary

Abstract

Minimally invasive neurosurgical intracranial robot system is introduced to the operative site by a neurosurgeon through a narrow surgical corridor. The robot is passed through a cannula and is attached to the cannula by a latching mechanism. The robot has several links interconnected via revolute joints which are tendon-driven by tendons routed through channels formed in the walls of the links. The robot is teleoperatively guided by the neurosurgeon based on real-time images of the intracranial operative site and tracking information of the robot position. The robot body is equipped with a tracking system, tissue liquefacting end-effector, at as well as irrigation and suction tubes. Actuators for the tendon-driven mechanism are positioned at a distance from the imaging system to minimize distortion to the images. The tendon-actuated navigation of the robot permits an independent control of the revolute joints in the robot body.

Claims

1. Minimally Invasive Neurosurgical Intracranial Robot (MINIR) system, comprising:

a robot sub-system compatible with an imaging system and introduced in an intracranial area containing a target of interest;

a tracking sub-system operatively coupled to said robot sub-system and generating tracking information corresponding to said robot sub-system position;

an interface operatively coupled to said imaging system and said tracking sub-system to display substantially in real-time images of the intracranial area generated by said imaging system aligned with said tracking information, wherein said interface is further operatively interconnected between a user and said robot sub-system, and wherein the user applies commands to said interface to manipulate said robot sub-system based on said substantially in real-time images and said tracking information to reach said target of interest for an intended interaction therewith;

wherein said robot sub-system includes;

a robot body composed of a plurality of links and N revolute joints interconnecting respective of said plurality of links each to the other, wherein each of said N revolute joints is formed between respective adjacent links for rotational motion of each link with respect to the other about a corresponding rotational axis extending through said each revolute joint in substantially orthogonal relationship to a rotational axis of an adjacent revolute joint;

a tendon sub-system integrated with said robot body and containing N independent tendons routed through walls of said plurality of links, wherein each of said N tendons is operatively coupled to a respective one of said N revolute joints;

an actuator sub-system operatively coupled to said tendon sub-system, said actuator sub-system containing N independently operated actuating mechanisms, wherein each actuating mechanism is operatively coupled to a respective one of said N revolute joints through a respective one of said N tendons to independently control said respective revolute joint through controlling the motion of said respective tendon of said tendon sub-system; and

a control sub-system operatively coupled between said interface and said actuator sub-system;

wherein said control sub-system generates control signals responsive to the user'"'"'s commands input via said interface and transmits said control signals to said actuator sub-system; and

wherein said actuator sub-system, responsive to said control signals received thereat, controls, through controlling the motion of at least one said respective tendon, the rotational motion of adjacent links of at least one said revolute joint, thereby steering said robot sub-system relative to said target of interest.

2. The system of claim 1, wherein said plurality of links include a tip link, a base link, and intermediate links interconnected between said tip and base links, and wherein said tip link includes an end-effector attached thereto.

3. The system of claim 2, further comprising an irrigation channel extending internally through said robot body between said tip link and an external irrigation hardware, wherein one end of said irrigation channel extends for interaction with said intracranial area.

4. The system of claim 2, further comprising a suction channel extending internally through said robot body between said tip link and an external suction hardware, wherein one end of said suction channel extends for interaction with said intracranial area.

5. The system of claim 2, wherein said end-effector is adapted for said intended interaction with said target of interest, and wherein said end-effector is electrically coupled to a end-effector hardware through wiring extending internally of said robot body.

6. The system of claim 5, wherein said end-effector is adapted for a tissue liquefaction at said target of interest.

7. The system of claim 5, wherein said end-effector operates in a mode selected from a group consisting of:

monopolar electrocautery, bi-polar electrocautery, APC (Argon-Plasma Coagulation), laser ablation, radio-frequency ablation, and ultrasonic cavitation.

8. The system of claim 2, further including a flexible cannula insertable in a surgical corridor extended towards said intracranial area and configured to permit passage of said robot body therethrough.

9. The system of claim 8, wherein said tracking sub-system is integrated with said robot sub-system and operatively coupled to said interface and includes:

a first sensor integrated with said robot body and positioned at said tip link,

a data processing unit positioned externally of said intracranial area, and

wiring extending internally through said robot body between said first sensor and said data processing unit.

10. The system of claim 9, wherein said tracking sub-system further includes a second sensor positioned at a distal end of said flexible cannula.

11. The system of claim 8, wherein said flexible cannula is formed with a latching mechanism positioned at an internal wall of said flexible cannula at a distal end thereof, and wherein said latching mechanism is engageably compatible with said base link of said robot body to secure said base link to said flexible cannula at said distal end thereof.

12. The system of claim 11, wherein said latching mechanism includes a plurality of latches arranged circumferentially at said internal wall of said flexible cannula.

13. The system of claim 12, wherein said circumferentially arranged latches are positioned at a plurality of selected distances from an edge of said flexible cannula at said distal end thereof.

14. The system of claim 1, wherein said actuator sub-system includes N independently controlled SMA (Shape Memory Alloy) spring actuators, wherein each spring actuator is operatively coupled to said respective revolute joint via said respective independent tendon of said tendon sub-system.

15. The system of claim 14, wherein each of said N SMA spring actuators includes antagonistically coupled SMA springs.

16. The system of claim 10, further comprising a visual feedback sub-system coupled between at least one of said first and second sensors and said control sub-system.

17. The system of claim 15, further comprising electrical current source, wherein each of said SMA springs is independently coupled to said electrical current source to attain a corresponding temperature regime, thereby resulting in tension difference between a heated and unheated SMA springs.

18. The system of claim 17, further comprising a temperature based feedback sub-system coupled between said SMA springs and said control sub-system, said temperature based feedback sub-system acquires data on the temperature regime applied to a respective SMA spring and a corresponding rotational angle of a revolute joint affected by said respective SMA spring.

19. The system of claim 1, further including a first set of N gears secured in said base link, each of said gears in said first set thereof includes a respective pulley carrying therearound a respective one of said N tendons of said tendon sub-system.

20. The system of claim 19, further including a second set of N gears operatively coupled with said gears in said first set thereof, and an intermediate tendon sub-system including N intermediate tendons, wherein each intermediate tendon extends between a respective one of said gears in said second set thereof and a respective one of said N actuating mechanisms to independently control the motion of a corresponding one of said N tendons of said tendon sub-system, thereby controllably steering said robot sub-system.

21. The system of claim 20, wherein said N gears in said second set thereof are positioned at a single shaft attached to a base member, and

wherein said base member is removably secured to said base link.

22. The system of claim 21, further comprising an intermediate quick-connect mechanism having said base member with said second set of gears at one end thereof, and a third set of N gears positioned at another end thereof, wherein said each intermediate tendon extends therebetween.

23. The system of claim 22, further comprising:

a plurality of intermediate tendon routing pulleys and a plurality N of intermediate tendons coupled to said routing pulleys between said N actuating mechanisms and said third set of N gears, wherein said intermediate quick-connect mechanism is removably attached by said another end thereof to said routing pulleys and by said one end thereof to said base link.

24. The system of claim 1, wherein said control sub-system includes:

a data transformation unit receiving, at an input thereof, the user'"'"'s commands, and computing corresponding control signals based on the position and configuration of the robot body, said control signals including coordinates of at least one center of rotation at said robot body and tracking path interpolation, said control signals being operatively applied to said actuator sub-system to control motion of at least one corresponding tendon in said tendon sub-system.

25. The system of claim 24, wherein said actuator sub-system further includes N motors, each operatively coupled to a respective one of said N revolute joints, and

wherein said control signals are applied to at least one of said N motors to actuate the same for controlling the motion of said at least one corresponding tendon in said tendon sub-systems.

26. A method for minimally invasive intracranial neurosurgery, comprising the steps of:

forming a surgical path towards an intracranial area containing a target of interest;

introducing a Minimally Invasive Neurosurgical Intracranial Robot (MINIR) device to said intracranial area through said surgical path;

wherein said MINIR device includes a robot body composed of a plurality of links interconnected at N revolute joints, wherein each one of said N revolute joints is formed between respective adjacent links from said plurality thereof for rotational motion of each link with respect to the other about a corresponding rotational axis extending through said each revolute joint in substantially orthogonal relationship to a rotational axis of an adjacent revolute joint,

a tendon sub-system integrated with said robot body and containing N independent tendons routed through walls of said plurality of links in a predetermined order, wherein each of said N tendons is operatively coupled to a respective one of said N revolute joints; and

a tracking sub-system having at least one sensor positioned in proximity to a tip of said robot body and generating information corresponding to a position of said tip of said robot body;

obtaining, substantially in real-time, images of said intracranial area containing the target of interest on a display of an user'"'"'s interface;

aligning said tracking information acquired from said tracking sub-system and said in real-time images of said intracranial area on the display of the user'"'"'s interface; and

receiving, through said interface, the user'"'"'s commands to control said robot body position and configuration based on said tracking information and said in real-time images; and

responsive to the user'"'"'s commands, calculating and operatively applying control signals to said tendon sub-system to control rotational motion of at least one respective revolute joint through controlling motion of at least one tendon is said tendon sub-system coupled to said respective revolute joint, thereby navigating said robot body relative to said target of interest.

27. The method of claim 26, further comprising the steps of:

operatively coupling a control sub-system between said tendon sub-system and said interface;

coupling an actuator sub-system between said control sub-system and said tendon sub-system, wherein said actuator sub-system includes N actuating mechanisms, each operatively coupled to a respective one of N independent tendons in said tendon sub-system; and

controlling the rotational motion of said at least one respective revolute joint through controlling the motion of said respective independent tendon by a respective actuating mechanism in correspondence to said control signals applied to said respective actuator mechanism.

28. The method of claim 26, further comprising the steps of:

routing an irrigation channel internally through a robot body between said tip link and an external irrigation hardware, and extending one end of said irrigation channel for interaction with said intracranial area.

29. The method of claim 26, further comprising the steps of:

routing a suction channel internally through said robot body between a tip link and an external suction hardware, and extending one end of said suction channel for interaction with said intracranial area.

30. The method of claim 26, further comprising the step of:

attaching an end-effector member to a tip link of said robot body, wherein said end-effector member is adapted for an intended interaction with said target of interest, and

operating said end-effector member in a mode selected from a group including;

monopolar electrocautery, bi-polar electrocautery, APC (Argon-Plasma Coagulation), laser ablation, radio-frequency ablation, and ultrasonic cavitation.

31. The method of claim 26, further comprising the steps of:

inserting a flexible cannula in the surgical corridor, wherein said flexible cannula is configured to permit passage of said robot body therethrough, introducing said MINIR device to said intracranial area through said flexible cannula, and

securing said robot body at a distal end of said flexible cannula by a latching mechanism provided thereat.

32. The method of claim 27, wherein said real-time images are generated by an imaging system, selected from a group consisting of:

Magnetic Resonance Imaging (MRI) systems, a Computed Tomography (CT) imagining system, and an ultrasound imaging system.

33. The method of claim 27, wherein said actuator sub-system includes N independently controlled SMA (Shape Memory Alloy) spring actuators, wherein each spring actuator is operatively coupled to said respective revolute joint via said respective independent tendon of said tendon sub-system, and

wherein each of said N SMA spring actuators includes antagonistically coupled SMA springs.

34. The method of claim 27, further comprising step of:

coupling a visual feedback sub-system between said tracking sub-systems and said control sub-system.

35. The method of claim 33, further comprising the step of:

applying an electrical current to a respective one of said SMA antagonistically coupled springs to attain, in a controlled fashion, a corresponding temperature regime, thereby resulting in tension difference between a heated and unheated SMA antagonistically coupled springs.

36. The method of claim 35, further comprising the steps of:

coupling a temperature based feedback sub-system between said SMA antagonistically coupled springs and said control sub-system, and

acquiring data on the temperature regime applied to a respective SMA spring and a corresponding rotational angle of a revolute joint affected by said respective SMA spring.

37. The method of claim 32, further comprising the steps of:

positioning said actuator sub-system remotely from said imaging sub-system, and

connecting an intermediate quick-connect mechanism between said robot body and said actuator sub-system, wherein said intermediate quick-connect mechanism includes N intermediate tendons extending between said actuator system and said robot body.

38. The method of claim 27, further comprising the steps of:

receiving, at an input of said control sub-system, the user'"'"'s commands, and

computing corresponding control signals based on the position and configuration of the robot body, where said control signals includes coordinates of at least one center of rotation at said robot body and tracking path interpolation, and

applying said control signals to said actuator sub-system to control motion of at least one corresponding tendon in said tendon sub-system.

39. The method of claim 27, further comprising the step of:

obtaining high-resolution diagnostic quality images of the intracranial area.